Mr John Vicent Hickman, LCSW, CASAC | |
15 Horseblock Pl, Farmingville, NY 11738-1204 | |
(631) 854-2571 | |
(631) 854-2550 |
Full Name | Mr John Vicent Hickman |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 15 Horseblock Pl, Farmingville, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538230495 | NPI | - | NPPES |
00354807 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R045978 (New York) | Primary |
Entity Name | County Of Suffolk |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285750737 PECOS PAC ID: 2264344316 Enrollment ID: O20040317000525 |
Mailing Address | Practice Location Address |
---|---|
Mr John Vicent Hickman, LCSW, CASAC 25 Beech St, Lake Grove, NY 11755-3141 Ph: (631) 981-2843 | Mr John Vicent Hickman, LCSW, CASAC 15 Horseblock Pl, Farmingville, NY 11738-1204 Ph: (631) 854-2571 |
Caitlyn Aubel, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Horseblock Pl, Farmingville, NY 11738 Phone: 631-852-2552 | |
Stephanie Rued, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Sydney Ave, Farmingville, NY 11738 Phone: 631-941-1200 | |
Erica Octavia Blas-marquez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36 N Morris Ave, Farmingville, NY 11738 Phone: 934-216-8349 | |
Ms. Sylvia Sayer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 90 Bershire Drive, Farmingville, NY 11738 Phone: 631-732-8028 | |
Rachel Roger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 627 Horseblock Rd, Farmingville, NY 11738 Phone: 631-445-5234 | |
Mary Grace Ventura, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 438 Adirondack Dr, Farmingville, NY 11738 Phone: 631-846-1908 | |
Heather Johnston, LCSWR Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15 Horseblock Pl, Farmingville, NY 11738 Phone: 631-854-2552 Fax: 631-854-2580 |